The purpose of this comparative, descriptive study is to compare perceived stress, perceived stress due to pregnancy, self-concept, anxiety, depression and health outcomes between a group of unmarried adolescent first-time mothers and a group of married adolescent first-time mothers. Never-pregnant adolescents served as a comparison group on outcomes of stress and health. Health outcomes of infants of the two groups of adolescent mothers were also compared on birth weight, nutritional status (weight gain) and immunization status..